- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.72 / $0.79 / $7.74
| Facility | | $0.72 | $0.79 | $7.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.72 / $1.24 / $7.74
| Professional | | $0.72 | $1.24 | $7.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.87 / $1.03 / $1.75
| Facility | | $0.87 | $1.03 | $1.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.19 / $1.19 / $2.48
| Professional | | $1.19 | $1.19 | $2.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.83 / $3.97 / $5.69
| Facility | | $2.83 | $3.97 | $5.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $6.78 / $10.05
| Professional | | $3.11 | $6.78 | $10.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.38 / $1.38 / $1.38
| Professional | | $1.38 | $1.38 | $1.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.67 / $2.94 / $3.60
| Professional | | $2.67 | $2.94 | $3.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.60 / $3.34 / $6.14
| Professional | | $1.60 | $3.34 | $6.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.42 / $80.00 / $85.00
| Facility | | $5.42 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.30 / $13.30 / $20.03
| Professional | | $13.30 | $13.30 | $20.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.92 / $2.67 / $3.66
| Facility | | $1.92 | $2.67 | $3.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.38 / $1.38 / $2.93
| Professional | | $1.38 | $1.38 | $2.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $5.05
| Professional | | $5.05 | $5.05 | $5.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.89 / $2.08 / $2.46
| Professional | | $1.89 | $2.08 | $2.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $1.21 / $3.49
| Professional | | $1.07 | $1.21 | $3.49 |